ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260331*1603*^*00501*000042995*0*P*>~
GS*HS*SKMD0*SKMD0*260331*1603*1487113239*X*005010X279A1~
ST*270*000042995*005010X279A1~
BHT*0022*13*000042995*260390*1603~
HL*1**20*1~
NM1*PR*2*MARYLAND MEDICAID*****PI*10448~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*EDMONDSON*DORIS****MI*48402607100~
DMG*D8*19330824*F~
DTP*291*RD8*20260331-20260629~
EQ*42~
EQ*30~
SE*14*000042995~
GE*1*42995~
IEA*1*000042995~

